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Individual

JAMES C COGHLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1530 N 115TH ST, STE 303, SEATTLE, WA 98133-8411
(206) 368-1933
(206) 368-1931
Mailing address
1530 N 115TH ST, STE 303, SEATTLE, WA 98133-8411
(206) 368-1933
(206) 368-1931

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00018416
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080033432
RAILROAD MEDICARE
WA
05
1118264
WA
Enumeration date
06/16/2005
Last updated
08/11/2008
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